I am 5'10 1/2, 135lbs., currently an a/b34. I typically wear a double padded bra. Will 475cc look too fake?
Doctor Answers 7
Breast Augmentation: Information
Thank you for your story and questions. Unfortunately without nude photos and a actual
exam I am limited (including taking accurate measurements of your chest and determine the elasticity of your skin) and thus can only give you (hopefully helpful) non specific comments.
Choosing the correct breast implant is a multifactoral depending on your anatomy, skin strech, desired look and size.
Breast size is a very personal choice and using a variety of techniques (some of which you may have completed) you can achieve the size and look you desire.
Unfortunately bra manufactures have not standardized cup sizes.
Breast implant manufactures have created a wide spectrum of implants based on a "cc" measuring system. Different base widths result in different projections for the same size of cc's. Different shapes are based on the cohesiveness of the internal gel.
My responses are:
A)purchase several bras (full bodied and no padding) of the size you think you want to
be. As you realize there are no standard bra (strap/cup) sizes.
B)take a measuring cup (1 oz=30cc) place rice in a nylon y
C) try on various volumes of rice with some form fitting clothes.
D) if implants placed in the submuscular position I personally add 10% additional volume to compensate for the muscle flat renting of the implant.
2)placement of implant:
Select several nude model photos of the goal breast shape you desire.
Placement decision of implant(subpectoral, dual plane, or suprapectoral) will be determined based on your anatomy If the implant is placed under the pectoralis muscle I usually add 10% volume to what the patient chooses.... to compensate for the muscle pressing down on the muscle and for the naturally settleing of the implant which often makes the breast appear smaller 2-3 months after surgery.
3)profile of implant:
A) for the same volume the higher the profile the narrower the base width.
B)there is very little difference in projection between a moderate to high profile implant
thus little affect on the perceptible final projection of your breasts.
C) the base width of the breast should equal the base width of the implant
D)thus I personally chose the profile based on the patients chest measurements,
(a high profile on a wide chest may not result in the cleavage desired and
conversely a low profile on a narrow chest may result in implant in the outside arm
4)types of implants:
B) anatomical or shaped be (form stable)
A) Silicone gel
B) Normal Saline
6) Access incisions
+ no scars on breast
- scar in armpit
B) Peri areolar
+ blends with areolae
- higher chance of internal scarring (capsular contracture)
C) intra mammary
+ lowest incidence of internal scar ting (capsular contracture)
- scar on breast
+ no scars on breasts
- can only insert saline filled implants
7)there are four companies that produce breast implants:
1-2 =silicone fill comes from same factory
3 =silicone gel has highest cohesiveness (gummy bear) for round implants
1= only implants made in USA
1-2 = make both silicone and normal saline filled implants
4= only makes normal saline filled implants
4 = has internal baffles in normal saline implant to give feel more like silicone filled implants
1-4 = all FDA approved, lifetime warranties
1-3 have capsular contracture warranty
1-3 have different profiles (for same volume different base widths) resulting in different projections.
1-3 have anatomical or shaped implants.
I personally use all four companies based on the above and the best "fit" for the patient.
I trust your Plastic Surgeon is experienced and is Certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).
My best wishes,
R. A. Hardesty, MD, FACS
Diplomate and Certified by the Am. Bd. of Plastic Surgery
4646 Brockton Ave
Riverside, Ca 92506
What size breast implant?
Currently an a/b34. I typically wear a double padded bra. Will 475cc look too fake?
There are no manufacturers' standards for cup sizing in the bra industry. The cups of a 32 C and a 38 C are significantly different. Cup size varies from manufacturer to manufacturer and even within styles from any particular manufacturer.
The interpretation of "natural looking" varies greatly from patient to patient and from surgeon to surgeon. In general, a 475-500 cc high profile implant will look quite large in a patient with your slender body frame.
Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest that your plastic surgeon be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.
Robert Singer, MD FACS
La Jolla, California
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Answering your question
A rough guide for cup size is about 150-200cc for the first cup size increase, and about 100-150cc for each additional cup size.
It's also all
in the eye of the beholder--no one walks up to you and taps you on your shoulder, looks at your chest and says "Hey, you/your chest look great, what cup size are you?"
Try them on, go for the look you are wanting, and that is the implant you need. I would not try on any implants that are wider than that ~12cm width you mentioned, and preferably, stay to about 1/2cm more narrow. A shaped Sientra product (the Classic Base implant, in your case given your height) is one that I would lean to, but an in-person exam is certainly best.
Best Breast Implants for ME?
Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical.
I would suggest that you spend additional time communicating your goals/concerns directly with your plastic surgeon, preferably prior to the date of surgery.
Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals.
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of know words such as “natural” or "C or D cup” or "too fake" etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.
I hope this (and the attached link/video, dedicated to breast augmentation surgery concerns) helps. Best wishes for an outcome that you will be very pleased with.
Breast Implants / Breast Augmentation/ Cohesive Gel Implants / Silicone Implants / Revision Breast Surgery
The size of implant is dictated by your chest wall measurements. Once we determine that we can choose the profile based on what you want or need to achieve. If you are seeking a natural look, then the diameter of the implant should be equal to or, more ideally, smaller than the width of your breast. The breast width is a measurement of how wide your breast is at the base, which should be measured at the level of the nipple. Choosing an implant that is smaller in diameter than your breast width will avoid the "side breast" fullness that is often associated with a more artificial appearance. Other than that, you should choose the implant based on volume, not on the dimensions of the implant. You should choose a board certified plastic surgeon that you trust to help guide you in this decision.
Silicone will give you a fullness at the top (upper pole fullness).
Silicone implants come pre-filled with a silicone gel and are the softest implant available. They feel more natural, which makes them a good option for women with less natural breast tissue; but they require a larger incision. It may be more difficult to realize if this type of implant has ruptured, so it is important to monitor them with annual follow-up visits. Additionally, because this implant contains a more liquid silicone (less cross-linked), if this implant should rupture, it will leak only into the scar capsule formed around the implant but may cause some discomfort or implant distortion.
Anatomic gummy bear implants might be a good choice to give you volume.
These highly-sought-after, anatomic implants offer a look that more closely resembles the natural silhouette of a breast, and, therefore, are a very attractive option for individuals seeking a natural-looking, aesthetic primary breast augmentation. Additionally, these implants are an especially excellent option for patients undergoing restorative or corrective breast surgery because they provide more stability, shape, and reduced incidence of capsular contracture. Compared to other types of silicone gel implants, the silicone in the cohesive gel implant is more cross-linked; therefore, should the implant shell “rupture,” it maintains its shape and silicone does not leak.
During your breast augmentation consultation, you should feel the different types of implants available, and try on various implant sizers in front of a mirror to help you to get an idea of how you will look following the surgery. You should also bring pictures of the look you would like to achieve, as well as a favorite top to wear when trying on implant sizers.
The best way to assess and give true advice would be an in-person exam.
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.
Best of luck!
Board Certified Plastic Surgeon
Director-Beverly Hills Breast and Body Institute